International Nosocomial Infection Control Consortium report, datasummary of 50 countries for 2010-2015 : Device-associated module
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Datum
2016Autoren
Rosenthal, Víctor DanielAl-Abdely, Hail M.
El-Kholy, Amani Ali
Aziz AlKhawaja, Safa A.
Leblebicioglu, Hakan
Mehta, Yatin
Rai, Vineya
Viet Hung, Nguyen
Sami Kanj, Souha
Foda Salama, Mona
Salgado-Yepez, Estuardo
Elahi, Naheed
Morfin Otero, Rayo
Apisarnthanarak, Anucha
Matias de Carvalho, Braulio
Erdene Ider, Bat
Fisher, Dale
Buenaflor, Maria Carmen S.G.
Petrov, Michael M.
Quesada-Mora, Ana Marcela
Zand, Farid
Gurskis, Vaidotas
Anguseva, Tanja
Ikram, Aamer
Aguilar de Moros, Daisy
Duszynska, Wieslawa
Mejia, Nepomuceno
Horhat, Florin George
Belskiy, Vladislav
Mioljevic, Vesna
Di Silvestre, Gabriela
Furova, Katarina
Ramos-Ortiz, Gloria Y.
Gamar Elanbya, May Osman
Irawan Satari, Hindra
Gupta, Umesh
Dendane, Tarek
Raka, Lul
Guanche-Garcell, Humberto
Hu, Bijie
Padgett, Denis
Jayatilleke, Kushlani
Jaballah, Najla Ben
Apostolopoulou, Eleni
Prudencio Leon, Walter Enrique
Sepulveda-Chavez, Alejandra
Telechea, Hector Miguel
Trotter, Andrew
Álvarez Moreno, Carlos Arturo
Kushner-Davalos, Luis
Corporate Author(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Grupo de Investigación en Enfermedades Infecciosas HUSI - PUJ
Typ
Artículo de revista
ISSN
0196-6553 / 1527-3296 (Electrónico)
Seiten
1495-1504
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Artículo original
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Abstrakt
Background: We report the results of International Nosocomial Infection Control Consortium (INICC) sur-veillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America,Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific.Methods:During the 6-year study period, using Centers for Disease Control and Prevention National Health-care Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregateof 3,506,562 days.Results:Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAIrates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associatedpneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples,frequencies of resistance ofPseudomonasisolates to amikacin (29.87% vs 10%) and to imipenem (44.3%vs 26.1%), and ofKlebsiella pneumoniaeisolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27%vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs.Conclusions:Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported inCDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the re-duction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC’s main goal tocontinue facilitating education, training, and basic and cost-effective tools and resources, such as stan-dardized forms and an online platform, to tackle this problem effectively and systematically.
Keywords
Hospital infectionHealth care-associated infection
Antibiotic resistance
Ventilator-associated pneumonia
Catheter-associated urinary tract infection
Central line-associated bloodstreaminfections
Bloodstream infection
Urinary tract infection
Developing countries
Limited resources countries
Befristete Deckung
2010-2015Verknüpfen Sie mit der Ressource
https://www-clinicalkey-es.ezproxy.javeriana.edu.co/#!/content/journal/1-s2.0-S0196655316308057Herkunft
American Journal of Infection Control; Vol. 44 Núm. 12 (2016)
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